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de Oliveira IC, Zanco M, Lopes J, Sambo MP, de Andrade TAM, Dos Santos GMT, Felonato M, Santamaria-Jr M. Analysis of inflammation and bone remodeling of atmospheric plasma therapy in experimental periodontitis. J Periodontal Res 2024. [PMID: 38566282 DOI: 10.1111/jre.13248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 02/09/2024] [Accepted: 02/13/2024] [Indexed: 04/04/2024]
Abstract
BACKGROUND AND OBJECTIVE The biological effects of atmospheric plasma (cold plasma) show its applicability for controlling the etiological factors that involve tissue repair. Thus, the study evaluated the effect of atmospheric plasma therapy in the control of tissue inflammation and bone remodeling in experimental periodontitis. METHODS Fifty-six rats were subjected to ligation in the cervical region of the first maxillary molars (8 weeks). The animals were divided into two groups (n = 28): periodontitis without treatment group (P group), and periodontitis with atmospheric plasma treatment group (P + AP group). Tissue samples were collected at 2 and 4 weeks after treatment to analyze the inflammation and bone remodeling by biochemical, histomorphometric, and immunohistochemical analyses. RESULTS Inflammatory infiltration in the gingival and periodontal ligament was lower in the P + AP group than in the P group (p < .05). The MPO and NAG levels were higher in the P + AP group compared to P group (p < .05). At 4 weeks, the TNF-α level was lower and the IL-10 level was higher in the P + AP group compared to P group (p < .05). In the P + AP group, the IL-1β level increased in the second week and decreased in the fourth week (p < .05), the number of blood vessels was high in the gingival and periodontal ligament in the second and fourth week (p < .05); and the number of fibroblasts in the gingival tissue was low in the fourth week, and higher in the periodontal tissue in both period (p < .05). Regarding bone remodeling, the RANK and RANKL levels decreased in the P + AP group (p < .05). The OPG level did not differ between the P and P + AP groups (p > .05), but decreased from the second to the fourth experimental week in P + AP group (p < .05). CONCLUSIONS The treatment of experimental periodontitis with atmospheric plasma for 4 weeks modulated the inflammatory response to favor the repair process and decreased the bone resorption biomarkers, indicating a better control of bone remodeling in periodontal disease.
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Affiliation(s)
- Ildamara Canoa de Oliveira
- Graduate Program in Biomedical Sciences, University Center of Hermínio Ometto Foundation - FHO, São Paulo, Brazil
| | - Mariana Zanco
- Graduate Program in Biomedical Sciences, University Center of Hermínio Ometto Foundation - FHO, São Paulo, Brazil
| | - Juliana Lopes
- Graduate Program in Biomedical Sciences, University Center of Hermínio Ometto Foundation - FHO, São Paulo, Brazil
| | - Milena Paloma Sambo
- Graduate Program in Biomedical Sciences, University Center of Hermínio Ometto Foundation - FHO, São Paulo, Brazil
| | - Thiago Antonio Moretti de Andrade
- Graduate Program in Biomedical Sciences, University Center of Hermínio Ometto Foundation - FHO, São Paulo, Brazil
- University of Victoria - Uvic, Victoria, British Columbia, Canada
| | | | - Maira Felonato
- Graduate Program in Biomedical Sciences, University Center of Hermínio Ometto Foundation - FHO, São Paulo, Brazil
| | - Milton Santamaria-Jr
- Graduate Program in Orthodontics and Biomedical Sciences, University Center of Hermínio Ometto Foundation - FHO, São Paulo, Brazil
- Department of Social and Pediatric Dentistry, Institute of Science and Technology, São Paulo State University - Unesp, São José dos Campos, Brazil
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Souza DAS, de Lima Dantas JB, Souto CS, Mendonça DM, Oliveira TJS, Dos Santos Vianna Néri J. Photodynamic therapy adjuvant to non-surgical periodontal therapy: Systematic review of randomized clinical trials. Int J Dent Hyg 2024; 22:45-55. [PMID: 37752814 DOI: 10.1111/idh.12759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 08/25/2023] [Accepted: 08/31/2023] [Indexed: 09/28/2023]
Abstract
OBJECTIVES To systematically evaluate randomised controlled trials (RCTs) on whether adjuvant application of antimicrobial photodynamic therapy (aPDT) through the technique of irradiation in the external region of the periodontal pocket with optic-fibre tip offers benefits to scaling and root planning (SRP). METHODS Five databases were searched by two independent reviewers according to pre-specified eligibility criteria up to April 2023. No restrictions regarding date of publication, language and minimum follow-up period were imposed. The Cochrane Collaboration's Risk of Bias tool (RoB 2.0) was used for quality appraisal and Grading of Recommendations, Assessment, Development and Evaluation for assessing the certainty of evidence. RESULTS A total of 1388 publications were identified and reviewed for eligibility. Four of them fulfilled the inclusion criteria. The sample consisted of a total of 83 patients with periodontitis. In these, 330 periodontal sites were evaluated. The clinical findings of the majority of the included studies demonstrated that patients who received the association of aPDT + RAR with the protocol evaluated here, obtained clinical results similar to patients who received only the SRP alone. In none of the evaluated RCTs, clinical advantages were observed that would categorise this aPDT protocol as superior to conventional treatment. CONCLUSION Applying aPDT after SRP with external irradiation of the periodontal pocket does not seem to result in any clinical benefit compared to the use of SRP alone in patients with periodontitis.
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Affiliation(s)
- Daniel Adrian Silva Souza
- Federal University of Bahia, Stricto Sensu Graduate Program in Dentistry, Salvador, Bahia, Brazil
- Dentistry Course, Adventist College of Bahia, Cachoeira, Bahia, Brazil
| | - Juliana Borges de Lima Dantas
- Dentistry Course, Adventist College of Bahia, Cachoeira, Bahia, Brazil
- Federal University of Bahia, Institute of Health Sciences, Stricto Sensu Graduate Program in Interactive Process of Organs and Systems, Salvador, Bahia, Brazil
- School of Medicine and Public Health, Salvador, Bahia, Brazil
| | | | | | - Tiago José Silva Oliveira
- Dentistry Course, Adventist College of Bahia, Cachoeira, Bahia, Brazil
- São Leopoldo Mandic Dental Research Center, Stricto Sensu Graduate Program in Dental Sciences (Implantology), São Paulo, Brazil
| | - Júlia Dos Santos Vianna Néri
- Federal University of Bahia, Stricto Sensu Graduate Program in Dentistry, Salvador, Bahia, Brazil
- Dentistry Course, Adventist College of Bahia, Cachoeira, Bahia, Brazil
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Piksa M, Lian C, Samuel IC, Pawlik KJ, Samuel IDW, Matczyszyn K. The role of the light source in antimicrobial photodynamic therapy. Chem Soc Rev 2023; 52:1697-1722. [PMID: 36779328 DOI: 10.1039/d0cs01051k] [Citation(s) in RCA: 39] [Impact Index Per Article: 39.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
Antimicrobial photodynamic therapy (APDT) is a promising approach to fight the growing problem of antimicrobial resistance that threatens health care, food security and agriculture. APDT uses light to excite a light-activated chemical (photosensitiser), leading to the generation of reactive oxygen species (ROS). Many APDT studies confirm its efficacy in vitro and in vivo against bacteria, fungi, viruses and parasites. However, the development of the field is focused on exploring potential targets and developing new photosensitisers. The role of light, a crucial element for ROS production, has been neglected. What are the main parameters essential for effective photosensitiser activation? Does an optimal light radiant exposure exist? And finally, which light source is best? Many reports have described the promising antibacterial effects of APDT in vitro, however, its application in vivo, especially in clinical settings remains very limited. The restricted availability may partially be due to a lack of standard conditions or protocols, arising from the diversity of selected photosensitising agents (PS), variable testing conditions including light sources used for PS activation and methods of measuring anti-bacterial activity and their effectiveness in treating bacterial infections. We thus sought to systematically review and examine the evidence from existing studies on APDT associated with the light source used. We show how the reduction of pathogens depends on the light source applied, radiant exposure and irradiance of light used, and type of pathogen, and so critically appraise the current state of development of APDT and areas to be addressed in future studies. We anticipate that further standardisation of the experimental conditions will help the field advance, and suggest key optical and biological parameters that should be reported in all APDT studies. More in vivo and clinical studies are needed and are expected to be facilitated by advances in light sources, leading to APDT becoming a sustainable, alternative therapeutic option for bacterial and other microbial infections in the future.
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Affiliation(s)
- Marta Piksa
- Ludwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Science, Weigla 12, 53-114, Wroclaw, Poland
| | - Cheng Lian
- Organic Semiconductor Centre, SUPA, School of Physics and Astronomy, University of St Andrews, Fife, KY16 9SS, UK.
| | - Imogen C Samuel
- School of Medicine, University of Manchester, Manchester, M13 9PL, UK
| | - Krzysztof J Pawlik
- Ludwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Science, Weigla 12, 53-114, Wroclaw, Poland
| | - Ifor D W Samuel
- Organic Semiconductor Centre, SUPA, School of Physics and Astronomy, University of St Andrews, Fife, KY16 9SS, UK.
| | - Katarzyna Matczyszyn
- Institute of Advanced Materials, Faculty of Chemistry, Wroclaw University of Science and Technology, Wyb. Wyspianskiego 27, 50-370 Wroclaw, Poland.
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Kassa CT, Salviatto LTC, Tortamano ACAC, Rost-Lima KS, Damante CA, Pavani C, Deana A, Kato IT, Wainwright M, Prates RA. Antimicrobial photodynamic therapy mediated by methylene blue in surfactant vehicle as adjuvant to periodontal treatment. Randomized, controlled, double-blind clinical trial. Photodiagnosis Photodyn Ther 2022; 41:103194. [PMID: 36402375 DOI: 10.1016/j.pdpdt.2022.103194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 11/02/2022] [Accepted: 11/03/2022] [Indexed: 11/19/2022]
Abstract
BACKGROUND Antimicrobial photodymanic therapy mediated by methylene blue has been investigated as an adjunctive to periodontal treatment but the dimerization of photosensitizer molecules reduces the phototoxic effects. Sodium dodecyl sulfate is a surfactant that may control this aggregation. The aim of this study was evaluated the photodynamic effect of methylene blue in sodium dodecyl sulfate in periodontitis. METHODS 36 participants with periodontitis were selected and allocated randomly in two group for intervention and other two for control - all of them were treated with scaling and root planing before aPDT. Three periodontal evaluations were done: at the selection time, at the day of intervention and thirty-day after this. Pre-irradiation time was 1 min and 2 min for irradiation. Laser (Therapy XT, DMC, São Carlos, Brazil) with wavelength of 660 nm and 100 mW of power was used. Two photosensitizer solutions with 100 µM methylene blue was used, one of them was in water and other in 0,25% of sodium dodecyl sulfate. Two sites of each participant were selected for the experimental procedures. Microbiological evaluations were performed to quantify microorganisms before and immediately after intervention. Quantitative microbiological evaluation was the primary outcome; morphological aspects of bacterial colony, and clinical probing depth was the secondary one. RESULTS There was no significant difference between the groups in both bacterial reduction and the clinical parameter evaluated. CONCLUSION The effect of methylene blue in surfactant did not cause enough phototoxic effects that could promote reduction of periodontal pocket depth.
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Affiliation(s)
- Claudio Teruo Kassa
- Biophotonics Program, Biophotonics Applied to Health Science Post Graduate program, Nove de Julho University, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP 01504-001, Brazil
| | - Luciana Toledo Costa Salviatto
- Biophotonics Program, Biophotonics Applied to Health Science Post Graduate program, Nove de Julho University, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP 01504-001, Brazil
| | - Ana Carolina A C Tortamano
- Biophotonics Program, Biophotonics Applied to Health Science Post Graduate program, Nove de Julho University, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP 01504-001, Brazil
| | - Ketlyn Sthefany Rost-Lima
- Biophotonics Program, Biophotonics Applied to Health Science Post Graduate program, Nove de Julho University, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP 01504-001, Brazil
| | - Carla Andreotti Damante
- Discipline of Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, Brazil
| | - Christiane Pavani
- Biophotonics Program, Biophotonics Applied to Health Science Post Graduate program, Nove de Julho University, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP 01504-001, Brazil
| | - Alessandro Deana
- Biophotonics Program, Biophotonics Applied to Health Science Post Graduate program, Nove de Julho University, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP 01504-001, Brazil
| | - Ilka Tiemy Kato
- Department of Biomedical Engineering, ABC Federal University (UFABC), São Bernardo do Campo, SP, Brazil
| | - Mark Wainwright
- School of Pharmacy & Biomolecular Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK
| | - Renato Araujo Prates
- Biophotonics Program, Biophotonics Applied to Health Science Post Graduate program, Nove de Julho University, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP 01504-001, Brazil.
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Photodynamic Therapy with Natural Photosensitizers in the Management of Periodontal Disease Induced in Rats. Gels 2022; 8:gels8020134. [PMID: 35200515 PMCID: PMC8872554 DOI: 10.3390/gels8020134] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 02/11/2022] [Accepted: 02/17/2022] [Indexed: 01/27/2023] Open
Abstract
This study aims to investigate the effect of new natural photosensitizers (PS) (based on oregano essential oil, curcuma extract, and arnica oil) through in vitro cytotoxicity and biological tests in rat-induced periodontal disease, treated with photodynamic therapy (aPDT). The cytotoxicity of PS was performed on human dental pulp mesenchymal stem cells (dMSCs) and human keratinocyte (HaCaT) cell lines. Periodontal disease was induced by ligation of the first mandibular molar of 25 rats, which were divided into 5 groups: control group, periodontitis group, Curcuma and aPDT-treated group, oregano and aPDT-treated group, and aPDT group. The animals were euthanized after 4 weeks of study. Computed tomography imaging has been used to evaluate alveolar bone loss. Hematological and histological evaluation showed a greater magnitude of the inflammatory response and severe destruction of the periodontal ligaments in the untreated group.. For the group with the induced periodontitis and treated with natural photosensitizers, the aPDT improved the results; this therapy could be an important adjuvant treatment. The obtained results of these preliminary studies encourage us to continue the research of periodontitis treated with natural photosensitizers activated by photodynamic therapy.
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Efficacy of antimicrobial photodynamic therapy (aPDT) for nonsurgical treatment of periodontal disease: a systematic review. Lasers Med Sci 2021; 36:1573-1590. [PMID: 33438165 DOI: 10.1007/s10103-020-03238-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 12/23/2020] [Indexed: 10/22/2022]
Abstract
Although the standard treatment for periodontal disease is based on scaling and root planing (SRP), the use of antimicrobial photodynamic therapy (aPDT) has been studied as a complement to obtain better clinical results. The purpose of this study was to evaluate the effect of aPDT as adjuncts to SRP, compared with SRP alone, on clinical parameters of chronic periodontal patients. Only randomized controlled trials with at least 3-month follow-ups, of SRP alone and in association with aPDT, were included. The MEDLINE (PubMed), Google Scholar, and LILACS databases were searched for articles published up to July 2020. Random-effects meta-analyses were conducted for clinical attachment level (CAL) and probing pocket depth (PPD) change after treatment. Of 141 potentially relevant papers, 22 were included. The association between SRP and aPDT promoted a significant CAL gain and PPD reduction. Periodontal treatment was partially improved by aPDT, and a favorable effect of indocyanine green-mediated aPDT was observed, and high concentrations of phenothiazine chloride presented clinical improvement as well.
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7
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Tortamano ACAC, Anselmo GG, Kassa CT, Godoy-Miranda B, Pavani C, Kato IT, Wainwright M, Prates RA. Antimicrobial photodynamic therapy mediated by methylene blue in surfactant vehicle on periodontopathogens. Photodiagnosis Photodyn Ther 2020; 31:101784. [PMID: 32437974 DOI: 10.1016/j.pdpdt.2020.101784] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 04/05/2020] [Accepted: 04/17/2020] [Indexed: 01/21/2023]
Abstract
BACKGROUND Periodontal disease (PD) is a chronic inflammatory disease caused by the presence of microbial biofilm. The aim of this study was to evaluate antimicrobial effect of antimicrobial photodynamic therapy (A-PDT) mediated by methylene blue (MB) in monomer form on A. actinomycetemcomitans and P. gingivalis. METHODS A. actinomycetemcomitans ATCC 29523 and P. gingivalis ATCC 33577 were cultured on anaerobic jars at 37 °C for 48 h, and we tested APDT in the presence of 0.25% sodium dodecyl sulfate (SDS) in phosphate-buffered saline (PBS) or in PBS alone. APDT was carried out with 100 μM MB under laser radiation (PhotolaseIII, DMC, Brazil) at ʎ =660 nm and parameters as following (P =100 mW; I =250 mW/cm2, and doses of 15, 45 and 75 J/cm2). RESULTS Following A-PDT, PBS groups of A. actinomycetemcomitans presented 4 Logs of microbial death after 5 min irradiation. However, there was no bacterial reduction in SDS groups. On the other hand, P. gingivalis was sensitive to APDT in the presence of 0.25% SDS with 2 logs reduction from dark toxicity. CONCLUSION The presence of 0.25% SDS can lead to different responses depending on the different microbial species.
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Affiliation(s)
- Ana Carolina A C Tortamano
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho, UNINOVE, Brazil
| | - Giuliana G Anselmo
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho, UNINOVE, Brazil
| | - Claudio T Kassa
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho, UNINOVE, Brazil
| | - Bianca Godoy-Miranda
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho, UNINOVE, Brazil
| | - Christiane Pavani
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho, UNINOVE, Brazil
| | - Ilka T Kato
- Department of Biomedical Engineering, ABC Federal University (UFABC), Santo Andre, SP, Brazil
| | - Mark Wainwright
- School of Pharmacy & Biomolecular Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK
| | - Renato A Prates
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho, UNINOVE, Brazil.
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8
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Santamaria-Jr M, Bagne L, Zaniboni E, Santamaria MP, Jardini MAN, Felonato M, Dos Santos GMT, Mendonça FAS, Esquisatto MAM. Diabetes mellitus and periodontitis: Inflammatory response in orthodontic tooth movement. Orthod Craniofac Res 2019; 23:27-34. [PMID: 31461798 DOI: 10.1111/ocr.12340] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 08/18/2019] [Accepted: 08/25/2019] [Indexed: 12/16/2022]
Abstract
OBJECTIVES This study evaluated, in experimental model, the inflammatory alterations in gingival tissue and alveolar bone during the orthodontic tooth movement (OTM) in diabetes mellitus (D) and periodontitis (P). SETTING AND SAMPLE POPULATION Forty male Wistar rats, 90 days old and weighing 300 g. MATERIALS AND METHODS The sample was divided into four groups (n = 10). OTM: orthodontic movement (10 days, 0.4 N force); P + OTM: periodontitis (ligature-induced periodontitis, 3-0 silk suture thread) and orthodontic movement; D + OTM: diabetes (Alloxan-induced diabetes, 150 mg/kg) and orthodontic movement; and D + P + OTM: diabetes, periodontitis and orthodontic movement. Tooth displacement was measured; fibroblast, inflammatory cells, osteoclast and blood vessels were quantified by histomorphometric analysis. Inflammatory markers, interleukin-6 (IL-6) and tumour necrosis factor (TNF-α) were quantified by ELISA (Enzyme-Linked Immunosorbent Assay) in gingival tissue. The fibroblastic growth factor (bFGF), transforming growth factor (TGF-β1) and the vascular endothelial growth factor (VEGF) were measured via Western blotting in the alveolar bone. The results were analysed by ANOVA and Tukey's test at a 5% significance level. RESULTS The quantification of inflammatory cells and the expression of IL-6, TNF-α, TGF-β1 and bFGF were increased in diabetes and periodontitis. However, the number of fibroblasts and blood vessels and the percentage of birefringent collagen fibres were higher in healthy animals. There was greater tooth displacement in the OTM group. CONCLUSION Diabetes Mellitus modifies the inflammatory response. The increased expression of inflammatory markers IL-6, TNF-α and TGF-β1 in diabetic animals impairs neovasculogenesis and tissue reorganization during orthodontic tooth movement, which may be aggravated by periodontitis.
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Affiliation(s)
- Milton Santamaria-Jr
- Graduate Program of Biomedical Sciences, University Center of the Hermínio Ometto Foundation-FHO, Araras, Brazil.,Graduate Program of Orthodontics, University Center of the Hermínio Ometto Foundation-FHO, Araras, Brazil
| | - Leonardo Bagne
- Graduate Program of Biomedical Sciences, University Center of the Hermínio Ometto Foundation-FHO, Araras, Brazil
| | - Ewerton Zaniboni
- Graduate Program of Biomedical Sciences, University Center of the Hermínio Ometto Foundation-FHO, Araras, Brazil.,Graduate Program of Orthodontics, University Center of the Hermínio Ometto Foundation-FHO, Araras, Brazil
| | - Mauro Pedrine Santamaria
- ICT-UNESP, Division of Periodontics, UNESP São Paulo State University, São José dos Campos, Brazil
| | | | - Maíra Felonato
- Graduate Program of Biomedical Sciences, University Center of the Hermínio Ometto Foundation-FHO, Araras, Brazil
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Alvarenga LH, Gomes AC, Carribeiro P, Godoy-Miranda B, Noschese G, Simões Ribeiro M, Kato IT, Bussadori SK, Pavani C, Geraldo YGE, Silva DDFTD, Horliana ACRT, Wainwright M, Prates RA. Parameters for antimicrobial photodynamic therapy on periodontal pocket—Randomized clinical trial. Photodiagnosis Photodyn Ther 2019; 27:132-136. [DOI: 10.1016/j.pdpdt.2019.05.035] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Revised: 05/24/2019] [Accepted: 05/28/2019] [Indexed: 11/24/2022]
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10
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Root surface demineralization by citric acid/tetracycline gel and aPDT associated to subepithelial connective tissue graft improves root coverage outcomes. A 12-month preliminary randomized clinical trial. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2019; 197:111528. [DOI: 10.1016/j.jphotobiol.2019.111528] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Revised: 03/14/2019] [Accepted: 06/03/2019] [Indexed: 01/19/2023]
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Habashneh RA, Mashal MA, Khader Y, Qudah R. Clinical and Biological Effects of Adjunctive Photodynamic Therapy in Refractory Periodontitis. J Lasers Med Sci 2019; 10:139-145. [PMID: 31360383 PMCID: PMC6499576 DOI: 10.15171/jlms.2019.22] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Introduction: To date, no novel treatment approach is available for optimum outcomes regarding refractory periodontitis. The aim of the present study was to assess the efficiency of photodynamic therapy (PDT) in treating patients diagnosed with refractory periodontitis and compare the clinical and biological outcomes of conventional periodontal treatment with or without adjunctive PDT in these patients, by assessing clinical parameters (plaque index [PI], gingival recession [GR], bleeding on probing [BOP], periodontal probing depth [PPD] and clinical attachment level [CAL]) as well as biological parameters (IL-1β) in the gingival crevicular fluid (GCF). Methods: Sixteen patients within the age of 30 to 60 years, with a mean age of 40 years old, diagnosed with refractory periodontitis were included. In this split mouth design study, 2 quads (1 upper + 1 lower) from the same patient were randomly treated with (scaling and root planing [SRP]+PDT) together. The other 2 quadrants (1 upper + 1 lower) were treated by SRP only and selected to serve as controls. Clinical parameters including PI, GR, BOP, PPD and CAL and biological parameters (IL-1β) in the GCF were measured at baseline, then at, 2 and 6 months after therapy. Results: A statistically significant reduction in several clinical parameters as, BOP (P < 0.001), PI (P < 0.001), PPD (P < 0.001) and CAL (P < 0.001) in quadrant treated with SRP and adjunctive PDT when compared to control group treated with SRP alone was observed and both therapies showed non-statistically significant differences in the reduction of IL-1β level. Conclusion: The inclusion of PDT as an adjunctive measure to nonsurgical conventional periodontal treatment seems to be a useful therapeutic measure in refractory periodontitis treatment.
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Affiliation(s)
- Rola Al Habashneh
- Department of Preventive Dentistry, Jordan University of Science and Technology, Ramtha, Jordan
| | - Mohammad A Mashal
- Department of Preventive Dentistry, Jordan University of Science and Technology, Ramtha, Jordan
| | - Yousef Khader
- Medical Education and Biostatistics, Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science & Technology, Ramtha, Jordan
| | - Rana Qudah
- Department of Preventive Dentistry, Jordan University of Science and Technology, Ramtha, Jordan
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Sommer MEL, Dalia RA, Nogueira AVB, Cirelli JA, Vinolo MAR, Fachi JL, Oliveira CA, Andrade TAM, Mendonça FAS, Santamaria M, Felonato M. Immune response mediated by Th1 / IL-17 / caspase-9 promotes evolution of periodontal disease. Arch Oral Biol 2018; 97:77-84. [PMID: 30366216 DOI: 10.1016/j.archoralbio.2018.09.009] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 09/12/2018] [Accepted: 09/14/2018] [Indexed: 01/18/2023]
Abstract
INTRODUCTION Periodontitis is characterized by inflammatory mediators beyond T lymphocyte function and phenotype (Th1/Th2/Th17). The clinical diversity in periodontitis makes it difficult to characterize the immune response in patients. This study evaluated the profile of the adaptive immune response in the periodontal disease model. METHODS 72 rats (Wistar) were divided into a control group (CTL/day 0) and periodontitis (PD15/15 days and PD60/60 days). In the PD15 and PD60 groups, periodontal disease was induced by ligature with a silk thread placed in the cervical region of the upper first molar. After euthanasia, the periodontal tissue was analyzed by flow cytometry (CD4, CD8, CD25, CD44), semi-quantitative RT-PCR (T-bet, GATA-3, RORγt), semi-quantitative RT-PCR and ELISA IFN-γ, TNF-α, IFN-γ, IL-4, IL-6, IL-10, IL-17) and by Western blotting (Caspase-9, PCNA). RESULTS The number of CD4+CD25+, CD4+CD44+, CD8+CD25+ and CD8+CD44+ cells and expression levels of T-bet and GATA-3 are increased in the PD60 group compared to PD15 and CTL. The RORγ-t gene transcript increased in the PD15 group in relation to PD60 and CTL. The cytokines IFN-γ, TNF-α and IL-17 increased in the PD60 group in relation to PD15. The expression of Caspase-9 was higher in the PD60 group than in PD15. CONCLUSIONS The results suggest that the evolution of gingivitis to periodontitis is related to the accumulation of activated Th1 cells (IFN-γ and TNF-α) associated with the presence of increased IL-17. Studies with inhibitors of these cytokines in periodontal disease may lead to therapy directed at blocking the inflammatory process in this pathology, interrupting bone loss.
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Affiliation(s)
- M E L Sommer
- Graduate Program in Biomedical Sciences, Centro Universitario Hermınio Ometto (UNIARARAS), Brazil
| | - R A Dalia
- Graduate Program in Biomedical Sciences, Centro Universitario Hermınio Ometto (UNIARARAS), Brazil
| | - A V B Nogueira
- Dental School, Department of Diagnosis and Surgery, São Paulo State University, Araraquara, São Paulo, Brazil
| | - J A Cirelli
- Dental School, Department of Diagnosis and Surgery, São Paulo State University, Araraquara, São Paulo, Brazil
| | - M A R Vinolo
- Department of Genetics, Evolution and Bioagents, Institute of Biology, State University of Campinas, Campinas, São Paulo, Brazil
| | - J L Fachi
- Department of Genetics, Evolution and Bioagents, Institute of Biology, State University of Campinas, Campinas, São Paulo, Brazil
| | - C A Oliveira
- Graduate Program in Biomedical Sciences, Centro Universitario Hermınio Ometto (UNIARARAS), Brazil
| | - T A M Andrade
- Graduate Program in Biomedical Sciences, Centro Universitario Hermınio Ometto (UNIARARAS), Brazil
| | - F A S Mendonça
- Graduate Program in Biomedical Sciences, Centro Universitario Hermınio Ometto (UNIARARAS), Brazil
| | - M Santamaria
- Graduate Program in Biomedical Sciences, Centro Universitario Hermınio Ometto (UNIARARAS), Brazil; Graduate Program in Odontology, Centro Universitario Hermınio Ometto (UNIARARAS), Brazil
| | - M Felonato
- Graduate Program in Biomedical Sciences, Centro Universitario Hermınio Ometto (UNIARARAS), Brazil.
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Foggiato AA, Silva DF, Castro RCFR. Effect of photodynamic therapy on surface decontamination in clinical orthodontic instruments. Photodiagnosis Photodyn Ther 2018; 24:123-128. [PMID: 30219341 DOI: 10.1016/j.pdpdt.2018.09.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Revised: 07/17/2018] [Accepted: 09/10/2018] [Indexed: 12/16/2022]
Abstract
The objective was to develop, characterize and test a box containing light emission diode (LED), Patent Deposit MU-BR20.2017.002297-3, which was named "Photodynamic Inactivation Device" (PID) and verify if it's suitable in microbial reduction or disinfection action of solid surfaces using PID. The equipment was made in a container of polypropylene with a lid of the same material and, for a better use of irradiation the internal part was covered with a layer of reflective aluminum. In addition, sixty boards of red LED 660 nm wavelength, containing three radiators each, for which the distribution of irradiation and spectral irradiance in all of the six internal faces were calculated in this device. That way, a low cost alternative was tested over three types of microorganisms present on the human microbiota: two strains Gram-positive (Gram +), Staphylococcus aureus and Streptococcus mutans and one strain Gram-negative (Gram -), Escherichia coli, inoculated in orthodontic instruments previously autoclaved. To assess the Photodynamic Inactivation (PDI) over these bacteria, instruments were contaminated by bacterial suspensions (3 × 10⁸ CFU/mL) and ulterior treatment with a solution of 100 μmol/L of MB for 20 min, and irradiated for another 20 min (energy density of 026 J/cm²). Microbial reduction was assessed by number counting of Colony Forming Units (CFU). At the end, microbial reduction of the surface of orthodontic metal instruments was compared with the positive group of each group. Results showed that PID caused a significant reduction (p < 0.05) of the microbial charge stuck in the orthodontic instruments. Thus, the photo prototype of the drawing is appropriate for phototherapy studies, granting it´s advantageous to the low level light therapy as well as for the antimicrobial photodynamic therapy. The perspective is that PID may potentialize the dissemination of phototherapy studies for determining its proper use in health science. And, thus, propose a low cost and atoxic alternative for disinfection of biomedical appliances as non-critical instruments, allowing also for use in the food industry.
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Affiliation(s)
- Augusto Alberto Foggiato
- Health Science Center - Dentistry, Paraná Northern State University - UENP, Jacarezinho, PR, Brazil; São Leopoldo Mandic Dental Research Institute, Campinas, SP, Brazil.
| | - Douglas Fernandes Silva
- Health Science Center - Dentistry, Paraná Northern State University - UENP, Jacarezinho, PR, Brazil
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Alvarenga LH, Ribeiro MS, Kato IT, Núñez SC, Prates RA. Evaluation of red light scattering in gingival tissue – in vivo study. Photodiagnosis Photodyn Ther 2018; 23:32-34. [DOI: 10.1016/j.pdpdt.2018.05.016] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Revised: 05/18/2018] [Accepted: 05/23/2018] [Indexed: 12/11/2022]
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Gibertoni F, Sommer MEL, Esquisatto MAM, Amaral MECD, Oliveira CAD, Andrade TAMD, Mendonça FAS, Santamaria M, Felonato M. Evolution of Periodontal Disease: Immune Response and RANK/RANKL/OPG System. Braz Dent J 2018; 28:679-687. [PMID: 29211121 DOI: 10.1590/0103-6440201701407] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 07/25/2017] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate markers of bone loss and immune response present in evolution of periodontal disease. One hundred and two Wistar rats were divided into three animals groups: PD0, without ligation and PD15 days and PD60 days, submitted to ligation placement with a sterile 3-0 silk cord in the cervical region of the upper first molar on both sides. Samples were obtained from the gingival tissue for histomorphometric analysis, immunohistochemical analysis of RANK, RANKL, OPG, characterization of the inflammatory infiltrate, quantification of nitric oxide, MCP-1, RANTES, IP10 chemokines, and expression of the TGF-b1, VEG, and bFGF. The number of inflammatory cells in gingival tissue was higher in PD60 samples. The collagen content and the area occupied by birefringent collagen fibers were lower for PD60. Differential leukocyte counting showed that there was a significantly higher polymorphonuclear influx in group PD15, while PD60 showed a greater number of lymphocytes. PD60 showed higher RANTES, IP-10, MCP-1 gene transcripts, as well as a higher nitric oxide concentration. Clinical evaluation revealed that the PD60 group presented an increase in furcal area. In conclusion, in this animal model the increase of RANK/RANKL and HGF markers is related to a specific immune response, and probably contributed to the evolution of periodontal disease. Investigating the effect of these biomarkers can help in targeted therapy for bone resorption, since blocking these can inhibit bone loss.
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Affiliation(s)
- Fabrício Gibertoni
- Graduate Program in Biomedical Sciences, FHO
- Uniararas Centro Universitario Hermınio Ometto, Araras, SP, Brazil
| | - Meire Ellen Ligia Sommer
- Graduate Program in Biomedical Sciences, FHO
- Uniararas Centro Universitario Hermınio Ometto, Araras, SP, Brazil
| | | | | | - Camila Andrea de Oliveira
- Graduate Program in Biomedical Sciences, FHO
- Uniararas Centro Universitario Hermınio Ometto, Araras, SP, Brazil
| | | | | | - Milton Santamaria
- Graduate Program in Biomedical Sciences, FHO
- Uniararas Centro Universitario Hermınio Ometto, Araras, SP, Brazil
| | - Maíra Felonato
- Graduate Program in Biomedical Sciences, FHO
- Uniararas Centro Universitario Hermınio Ometto, Araras, SP, Brazil
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Candeo LC, Rigonato-Oliveira NC, Brito AA, Marcos RL, França CM, Fernandes KPS, Mesquita-Ferrari RA, Bussadori SK, Vieira RP, Lino-dos-Santos-Franco A, Ligeiro-Oliveira AP, Horliana ACRT. Effects of periodontitis on the development of asthma: The role of photodynamic therapy. PLoS One 2017; 12:e0187945. [PMID: 29145431 PMCID: PMC5689838 DOI: 10.1371/journal.pone.0187945] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Accepted: 10/28/2017] [Indexed: 01/04/2023] Open
Abstract
To evaluate whether periodontitis modulates lung inflammation in an experimental model of asthma as well as the photodynamic therapy (PDT) is associated with a reduction of lung inflammation. Seventy-two BALB/c male mice (~2 months) were randomly divided into 8 groups (n = 9): Basal, Periodontitis (P), P+PT, P+PT+PDT, Asthma (A), A+P, A+P+PT, and A+P+PT+PDT. Periodontitis was induced by using the ligature technique and asthma was induced by ovalbumin (OVA). PT was performed with curettes and PDT with methylene blue (0.005%), λ = 660nm, with a radiant exposure of 318J/cm2. After 43 days, euthanasia was carried out prior to lung and mandible morphological analyzes. All of the manipulations of the animals were performed by only one operator. The total and differential cell counts and cytokines IL-4, IL-5, IL-10, IFN-γ, TNF-α, IL-1β, and IL-6 were evaluated in the bronchoalveolar lavage (BAL) and in the serum. Mucus and alkaline phosphatase were also quantified. Statistical analyzes were performed by a blinded statistician. One-way analysis of variance (ANOVA) was employed, followed by the Student-Newman-Keuls test. Periodontitis group (P) increased alkaline phosphatase and bone resorption (p<0.05), validating the experimental model of periodontitis. The A group and the P group increased the total amount of cells (p <0.05) in the BAL. However, in the A+P group, there was a decrease in these cells, except for in the A+P+PT+PDT group (p<0.05). The asthma group increased the Th2 cytokines and P group increased the Th1 cytokine profile, and A+P+PT+PDT group increased IL-10 cytokine. Mucus was increased for the A and P groups. In conclusion, periodontitis in the asthmatic mice reduced the inflammatory migrated cells in the BAL (eosinophils, lymphocytes, macrophages). In addition, it reduced the levels of the IL-4 and TNF-α cytokines, which was also accompanied by a decreased mucus production. After PDT treatment the total cell count increased however, this increase was not accompanied by a pro-inflammatory cytokines release. Only in PDT group the anti-inflammatory IL-10 was increased. Further studies are needed to understand this mechanism of action.
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Affiliation(s)
- Larissa Carbonera Candeo
- Post Graduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), São Paulo, Brazil
| | | | - Aurileia Aparecida Brito
- Post Graduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Rodrigo Labat Marcos
- Post Graduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Cristiane Miranda França
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, OHSU School of Dentistry, Portland, Oregon, United States of America
| | | | - Raquel Agnelli Mesquita-Ferrari
- Post Graduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), São Paulo, Brazil
- Post Graduate Program in Rehabilitation Sciences, Universidade Nove de Julho, UNINOVE, São Paulo, Brazil
| | - Sandra Kalil Bussadori
- Post Graduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), São Paulo, Brazil
- Post Graduate Program in Rehabilitation Sciences, Universidade Nove de Julho, UNINOVE, São Paulo, Brazil
| | - Rodolfo Paula Vieira
- Instituto Brasileiro Ensino/Pesquisa em Imunologia Pulmonar e do Exercício, São Jose dos Campos, São Paulo, Brazil
| | | | - Ana Paula Ligeiro-Oliveira
- Post Graduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), São Paulo, Brazil
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Pulikkotil SJ, Toh CG, Mohandas K, Leong K. Effect of photodynamic therapy adjunct to scaling and root planing in periodontitis patients: A randomized clinical trial. Aust Dent J 2017; 61:440-445. [PMID: 26780271 DOI: 10.1111/adj.12409] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/10/2016] [Indexed: 01/27/2023]
Abstract
BACKGROUND A randomized split-mouth controlled clinical trial was conducted to evaluate the efficacy of photodynamic therapy (PDT) in reducing Aggregatibacter actinomycetemcomitans (Aa) in periodontitis patients. METHODS Twenty patients with periodontitis were recruited for the trial. Following random allocation of either quadrants of the selected jaw to test or control treatment, conventional non-surgical periodontal therapy (NSPT) was performed. In addition, the test side received adjunct photodynamic therapy. Probing depth (PD), clinical attachment level, bleeding on probing (BoP) and plaque scores (PS%) were recorded at phase 0 (baseline), phase 1 (immediately after NSPT), phase 2 (7 days following NSPT), phase 3 (1 month following NSPT) and phase 4 (3 months following NSPT). Subgingival plaque samples for quantification of Aa by real-time polymerase chain reaction was performed at phases 0, 1, 2 and 4. RESULTS There was a significant clinical improvement at phases 3 and 4 compared with baseline while BoP reduced significantly only in the test group at phase 4. However, no difference in the quantification of Aa was detected between the groups. CONCLUSIONS Within the limits of the study, PDT adjunct to scaling and root planing does not lead to quantitative reduction of Aa in periodontitis patients.
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Affiliation(s)
- S J Pulikkotil
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - C G Toh
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - K Mohandas
- Department of Microbiology, Faculty of Medicine, Malaysian Allied Health Science University (MAHSA), Kuala Lumpur, Malaysia
| | - Kvg Leong
- International Medical University, Kuala Lumpur, Malaysia
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Almeida PP, Pereira ÍS, Rodrigues KB, Leal LS, Marques AS, Rosa LP, da Silva FC, da Silva RAA. Photodynamic therapy controls of Staphylococcus aureus intradermal infection in mice. Lasers Med Sci 2017. [PMID: 28646389 DOI: 10.1007/s10103-017-2247-1] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Infections caused by Staphylococcus aureus lead to skin infections, as well as soft tissues and bone infections. Given the communal resistance to antibiotics developed by strains of this bacterium, photodynamic therapy emerges as a promising alternative treatment to control and cure infections. Females of the Balb/C mice were infected with 108 CFU of methicillin-resistant S. aureus (MRSA) and divided into four distinct groups: P-L- (negative control group), P+L- (group exposed only to curcumin), P-L+ (group exposed only to LED incidence of 450 nm, 75 mW/cm2, and 54 J/cm2 for 10 min), and P+L+ (group exposed to curcumin followed by 10 min of LED irradiation) (n = 24). The mice were euthanized 48 and 72 h after infection, and biologic materials were collected for analysis of the bacterial load, peripheral blood leukocyte counts, and draining lymph nodes cell counts. The normalization of data was checked and the ANOVA test was applied. The bacterial load in the draining lymph node of P+L+ group was lower when compared to the control groups 72 h post infection (p < 0.0001), indicating that the LED incidence associated with curcumin controls of the staphylococci intradermal infection. The number of the total lymph node cells shows to be lower than control groups in the two availed times (p < 0.01). The histological analysis and the counting of white blood cells did not show differences among cells in the blood and in the tissue of infection. This is the first report showing that photodynamic therapy may be effective against MRSA infection in a murine model of intradermal infection.
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Affiliation(s)
| | | | | | - Lorena Santos Leal
- Multidisciplinary Health Institute, UFBA, Vitória da Conquista, BA, Brazil
| | | | | | | | - Robson Amaro Augusto da Silva
- Multidisciplinary Health Institute, UFBA, Vitória da Conquista, BA, Brazil.,Multidisciplinary Health Institute, Federal University of Bahia, Rio de Contas Street, 58 Candeias, Vitoria da Conquista, BA, CEP 45029-094, Brazil
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19
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Antimicrobial photodynamic therapy combined to periodontal treatment: Experimental model. Photodiagnosis Photodyn Ther 2017; 18:275-278. [DOI: 10.1016/j.pdpdt.2017.03.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 03/03/2017] [Accepted: 03/13/2017] [Indexed: 12/14/2022]
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Abstract
Commonly used irrigants do not always eradicate the entire microbial flora in infected root canals. Therefore, several other strategies, such as photodynamic therapy (PDT) have been developed. Photoactivated disinfection is based on the interaction of a photosensitive antibacterial agent and a light source. It uses a nontoxic dye named photosensitizer (PS) and low-intensity visible light. In oxygen presentation, these combine to produce some cytotoxic species. The PS molecules attach to bacteria membrane. Irradiation with a specific wavelength of the light may lead to the production of singlet oxygen, resulting in rupture of the microbial cell wall. There are several applications for PDT in dentistry. A successful periodontal treatment is based on elimination of bacteria from the infected area. Phenothiazinium PSs have been shown to be highly effective and safe for this purpose. However, scaling/root planing should be performed before the PDT. While performing the PDT, PS should be first injected in the periodontal pocket and allowed to pigment. Then, the special fiber should be inserted 1 mm short of the pocket base and lased. Photodynamic therapy has also been used to disinfect caries dentin before restoration, disinfecting oral tissues before or during surgical procedures, treating denture stomatitis, and treating oral candidiasis in immunocompromised patients. Photodynamic therapy can be used in combination with mechanical instrumentation and chemical antimicrobial agents, such as sodium hypochlo-rite, too. The purpose of this study was to review historical perspective, mechanism of action, and applications of PDT in dentistry and especially in endodontics was reviewed. Furthermore, the effects of PDT on dentin bonding and endo-toxin are discussed. CLINICAL SIGNIFICANCE Photodynamic therapy has been advocated to increase the disinfection level of the root canal system.
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Affiliation(s)
- Zahed Mohammadi
- Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran; Iranian National Elite Foundation, Tehran, Islamic Republic of Iran
| | - Hamid Jafarzadeh
- Department of Endodontics, Faculty of Dentistry, Dental Research Center, Mashhad University of Medical Sciences Mashhad, Islamic Republic of Iran, Phone: +985138829501, e-mail: hamid_j365@ yahoo.com/
| | - Sousan Shalavi
- Private Dental Clinic, Hamedan, Islamic Republic of Iran
| | - Jun-Ichiro Kinoshita
- Department of Conservative Dentistry, Showa University Dental Hospital, Tokyo, Japan
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Photodynamic therapy using chloro-aluminum phthalocyanine decreases inflammatory response in an experimental rat periodontal disease model. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2017; 167:208-215. [PMID: 28086121 DOI: 10.1016/j.jphotobiol.2016.12.031] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Accepted: 12/22/2016] [Indexed: 11/21/2022]
Abstract
BACKGROUND AND OBJECTIVE Emerging evidence suggests that photodynamic therapy (PDT) can exhibit immunomodulatory activity. The purpose of the present study was to analyse cytokine profiles after application of PDT in gingival tissues of rats with ligature-induced periodontal disease (PD). STUDY DESIGN/MATERIAL AND METHODS Periodontal disease was induced through the introduction of a cotton thread around the first left mandibular molar, while the right side molars did not receive ligatures. After 7days of PD evolution, ligatures were removed from the left side, and the animals were randomically divided into the following treatment groups: I, rats without treatment; II, rats received chloro-aluminum phthalocyanine (AlClPc); III, rats received low-level laser alone; and IV, rats received AlClPc associated with low-level laser (PDT). The animals were killed 7days after the treatments, and the mandibles were histologically processed to assess morphological and immunohistochemical profile, while gingival tissues were removed for quantification of tumor necrosis factor (TNF)-α, interleukin (IL-)1β and IL-10 expression (by ELISA). RESULTS Histomorphological analysis of periodontal tissues demonstrated that PDT-treated animals show tissue necrosis, as well as lower TNF- α expression, compared to ligatured animals treated with AlClPc alone. CONCLUSIONS It was concluded that PDT using AlClPc entrapped in a lipid nanoemulsion may be useful in therapies, because of immunomodulatory effects that decreased the inflammatory response and cause tissue destruction.
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Pavlič A, Matoh U, Rajić V, Petelin M. Effect of Repeated Antimicrobial Photodynamic Therapy in Treatment of Periodontitis Associated with Fanconi Anemia. Photomed Laser Surg 2016; 35:64-68. [PMID: 27626108 DOI: 10.1089/pho.2016.4122] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Periodontal disease is one of common oral manifestations in patients with Fanconi anemia (FA). The aim of the study was to evaluate the effect of photodynamic therapy (PDT) on periodontal clinical and microbial parameters in a patient with FA. MATERIALS AND METHODS For a 16-year-old girl, diagnosed with having FA and periodontal disease, the protocol treatment with duration of 10 months was designed. Every 2 months, thorough oral cavity disinfection was followed by PDT, using photosensitizer phenothiazine chloride activated by a diode laser light. During each visit, periodontal parameters were evaluated: plaque index (PI), gingival index (GI), probing pocket depth (PPD), bleeding on probing (BOP), and clinical attachment level. Simultaneously, the presence of Candida albicans and of five periodontal pathogens was evaluated. RESULTS Clinical results showed improvement in GI, BOP, and PPD during this 10-month period. BOP subsequently reduced from 100% to 79%, 72%, and 60% at 6, 8, and 10 months, respectively. The proportion of sites with PPD of ≥4 mm decreased from 38.7% at the baseline to zero after 10 months. Further, all five bacterial species and C. albicans were reduced significantly. CONCLUSIONS PDT effectively influences periodontal healing and reduces periodontopathogenic bacteria without damaging the patient's tissues.
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Affiliation(s)
- Alenka Pavlič
- 1 Department of Paediatric and Preventive Dentistry, Faculty of Medicine, University of Ljubljana , Ljubljana, Slovenia
| | - Urban Matoh
- 2 Unit of Oral Medicine and Periodontology, Division of Stomatology, University Medical Centre Ljubljana , Ljubljana, Slovenia
| | - Vladan Rajić
- 3 Department of Haematology and Oncology, University Children's Hospital , Ljubljana, Slovenia
| | - Milan Petelin
- 4 Department of Oral Medicine and Periodontology, Faculty of Medicine, University of Ljubljana , Ljubljana, Slovenia
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Oruba Z, Łabuz P, Macyk W, Chomyszyn-Gajewska M. Antimicrobial photodynamic therapy—A discovery originating from the pre-antibiotic era in a novel periodontal therapy. Photodiagnosis Photodyn Ther 2015; 12:612-8. [DOI: 10.1016/j.pdpdt.2015.10.007] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2015] [Revised: 10/10/2015] [Accepted: 10/15/2015] [Indexed: 12/23/2022]
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Kikuchi T, Mogi M, Okabe I, Okada K, Goto H, Sasaki Y, Fujimura T, Fukuda M, Mitani A. Adjunctive Application of Antimicrobial Photodynamic Therapy in Nonsurgical Periodontal Treatment: A Review of Literature. Int J Mol Sci 2015; 16:24111-26. [PMID: 26473843 PMCID: PMC4632741 DOI: 10.3390/ijms161024111] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 09/26/2015] [Accepted: 10/08/2015] [Indexed: 12/14/2022] Open
Abstract
Periodontal disease is caused by dental plaque biofilms, and the removal of these biofilms from the root surface of teeth plays a central part in its treatment. The conventional treatment for periodontal disease fails to remove periodontal infection in a subset of cases, such as those with complicated root morphology. Adjunctive antimicrobial photodynamic therapy (aPDT) has been proposed as an additional treatment for this infectious disease. Many periodontal pathogenic bacteria are susceptible to low-power lasers in the presence of dyes, such as methylene blue, toluidine blue O, malachite green, and indocyanine green. aPDT uses these light-activated photosensitizer that is incorporated selectively by bacteria and absorbs a low-power laser/light with an appropriate wavelength to induce singlet oxygen and free radicals, which are toxic to bacteria. While this technique has been evaluated by many clinical studies, some systematic reviews and meta-analyses have reported controversial results about the benefits of aPDT for periodontal treatment. In the light of these previous reports, the aim of this review is to provide comprehensive information about aPDT and help extend knowledge of advanced laser therapy.
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Affiliation(s)
- Takeshi Kikuchi
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi 464-8651, Japan.
| | - Makio Mogi
- Department of Medicinal Biochemistry, School of Pharmacy, Aichi Gakuin University, Nagoya, Aichi 464-8650, Japan.
| | - Iichiro Okabe
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi 464-8651, Japan.
| | - Kosuke Okada
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi 464-8651, Japan.
| | - Hisashi Goto
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi 464-8651, Japan.
| | - Yasuyuki Sasaki
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi 464-8651, Japan.
| | - Takeki Fujimura
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi 464-8651, Japan.
| | - Mitsuo Fukuda
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi 464-8651, Japan.
| | - Akio Mitani
- Department of Periodontology, School of Dentistry, Aichi Gakuin University, Nagoya, Aichi 464-8651, Japan.
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Evangelista EE, França CM, Veni P, de Oliveira Silva T, Gonçalves RM, de Carvalho VF, Deana AM, Fernandes KPS, Mesquita-Ferrari RA, Camacho CP, Bussadori SK, Alvarenga LH, Prates RA. Antimicrobial photodynamic therapy combined with periodontal treatment for metabolic control in patients with type 2 diabetes mellitus: study protocol for a randomized controlled trial. Trials 2015; 16:229. [PMID: 26013003 PMCID: PMC4453758 DOI: 10.1186/s13063-015-0757-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Accepted: 05/13/2015] [Indexed: 01/02/2023] Open
Abstract
Background The relationship between diabetes mellitus (DM) and periodontal disease is bidirectional. DM is a predisposing and modifying factor of periodontitis, which, in turn, worsens glycemic control and increases proteins found in the acute phase of inflammation, such as C-reactive protein. The gold standard for the treatment of periodontal disease is oral hygiene orientation, scaling and planing. Moreover, systemic antibiotic therapy may be employed in some cases. In an effort to minimize the prescription of antibiotics, photodynamic therapy (PDT) has been studied as an antimicrobial technique and has demonstrated promising results. The aim of the proposed study is to determine whether PDT as a complement to periodontal therapy (PT) is helpful in the metabolic control of individuals with type 2 diabetes and the reduction of acute-phase inflammatory markers. Methods/Design The patients will be randomized using a proper software program into two groups: 1) PT + placebo PDT or 2) PT + active PDT. All patients will first be examined by a specialist, followed by PT performed by two other healthcare professionals. At the end of each session, PDT (active or placebo) will be administered by a fourth healthcare professional. The following will be the PDT parameters: diode laser (660 nm); power output = 110 mW; exposure time = 90 s per point (9 J/point); and energy density = 22 J/cm2. The photosensitizer will be methylene blue (50 μg/mL). The patients will be re-evaluated 15, 30, 90 and 180 days after treatment. Serological examinations with complete blood count, fasting glucose, glycated hemoglobin and salivary examinations to screen for tumor necrosis factor alpha, interleukin 1, interleukin 6, ostelocalcin, and osteoprotegerin/RANKL will be performed at each evaluation. The data will be statistically evaluated using the most appropriate tests. Discussion The results of this study will determine the efficacy of photodynamic therapy as an adjuvant to periodontal treatment in diabetic patients. Trial registration The protocol for this trial was registered with Clinical Trials registration number NCT01964833 on 14 October 2013.
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Affiliation(s)
- Erika Elisabeth Evangelista
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Cristiane Miranda França
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,School of Medicine, Nove de Julho University UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,Program in Rehabilitation Science, Nove de Julho University - UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Priscila Veni
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,School of Dentistry, Nove de Julho University UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Tamires de Oliveira Silva
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Rafael Moredo Gonçalves
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Verônica Franco de Carvalho
- School of Dentistry, Nove de Julho University UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Alessandro Melo Deana
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Kristianne P S Fernandes
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,School of Dentistry, Nove de Julho University UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,Program in Rehabilitation Science, Nove de Julho University - UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Raquel A Mesquita-Ferrari
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,School of Medicine, Nove de Julho University UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,Program in Rehabilitation Science, Nove de Julho University - UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Cleber P Camacho
- School of Medicine, Nove de Julho University UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,Medical Sciences, Nove de Julho University - UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Sandra Kalil Bussadori
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,School of Dentistry, Nove de Julho University UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,Program in Rehabilitation Science, Nove de Julho University - UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Letícia Heineck Alvarenga
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
| | - Renato Araujo Prates
- Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil. .,School of Dentistry, Nove de Julho University UNINOVE, Rua Vergueiro 235/249 - Liberdade, São Paulo, SP, 01504-001, Brazil.
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Carvalho VF, Andrade PVC, Rodrigues MF, Hirata MH, Hirata RDC, Pannuti CM, De Micheli G, Conde MC. Antimicrobial photodynamic effect to treat residual pockets in periodontal patients: a randomized controlled clinical trial. J Clin Periodontol 2015; 42:440-7. [PMID: 25808980 DOI: 10.1111/jcpe.12393] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2015] [Indexed: 01/05/2023]
Abstract
AIM A randomized controlled clinical trial was designed to evaluate the efficacy of the photodynamic therapy (PDT) in the treatment of residual pockets of chronic periodontitis patients. MATERIAL AND METHODS Thirty-four patients with at least four residual periodontal pockets undergoing maintenance care were included and randomly assigned to test group (PDT, n = 18) or control group (sham procedure, n = 16). The intervention was performed at baseline, 3, 6 and 12 months. Clinical parameters such as pocket probing depth (PPD), clinical attachment level (CAL), bleeding on probing (BoP) and plaque index (PI) were measured before intervention and after 3, 6 and 12 months. Subgingival samples were obtained at baseline, and after 7 days, 3, 6 and 12 months to quantify Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Treponema denticola and Tannerella forsythia by real-time polimerase chain reaction (PCR). RESULTS All clinical variables showed significant improvement during the study, but there was no significant difference between test and control groups. The microbiological analyses showed no differences between groups at any time during the study. CONCLUSION Within the limits of this clinical trial and considering the laser and photosensitizer protocol used, PDT failed to demonstrate additional clinical and bacteriological benefits in residual pockets treatment.
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Affiliation(s)
- Verônica F Carvalho
- Department of Periodontology, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Priscila V C Andrade
- Department of Periodontology, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Michelle F Rodrigues
- Department of Periodontology, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Mario H Hirata
- Department of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo, Brazil
| | - Rosario D C Hirata
- Department of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo, Brazil
| | - Claudio M Pannuti
- Department of Periodontology, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Giorgio De Micheli
- Department of Periodontology, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Marina C Conde
- Department of Periodontology, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
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27
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Passanezi E, Damante CA, de Rezende MLR, Greghi SLA. Lasers in periodontal therapy. Periodontol 2000 2014; 67:268-91. [DOI: 10.1111/prd.12067] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2014] [Indexed: 12/12/2022]
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28
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Alvarenga LH, Prates RA, Yoshimura TM, Kato IT, Suzuki LC, Ribeiro MS, Ferreira LR, Pereira SADS, Martinez EF, Saba-Chujfi E. Aggregatibacter actinomycetemcomitans biofilm can be inactivated by methylene blue-mediated photodynamic therapy. Photodiagnosis Photodyn Ther 2014; 12:131-5. [PMID: 25461964 DOI: 10.1016/j.pdpdt.2014.10.002] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2014] [Revised: 10/01/2014] [Accepted: 10/05/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND The purpose of this study was to evaluate the antibacterial effects of photodynamic action of methylene blue (MB) against Aggregatibacter actinomycetemcomitans organized on biofilm. METHODS After the biofilm growth in 96 flat-bottom well plate, the following groups were used: control group, untreated by either laser or photosensitizer (PS); MB group or dark toxicity group, which was exposed to MB alone (100μM) for 1min (pre-irradiation time); laser group, irradiated with laser for 5min in the absence of PS and three antimicrobial photodynamic inactivation (APDI) groups, with three exposure times of 1, 3 and 5min of irradiation, corresponding to fluences of 15, 45, and 75J/cm(2) respectively. The results were compared to the control group for statistical proposes. Scanning electronic microscope analysis was used to access structural changes in biofilm. RESULTS Red laser alone and MB alone were not able to inactivate bacterial biofilm. APDI groups showed differences when compared to the control group and they were dependent on the exposure time. No statistically significant differences were observed among the APDI groups at 1 and 3min of irradiation. On the other hand, 5min of APDI showed 99.85% of bacterial reduction (p=0.0004). In addition, the biofilm loose its structure following 5min APDI. CONCLUSIONS The results of this study suggest that A. actinomycetemcomitans biofilm can be inactivated by MB mediated APDI.
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Affiliation(s)
| | - Renato Araujo Prates
- Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil; School of Dentistry, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
| | - Tania Mateus Yoshimura
- Center for Lasers and Applications, Nuclear and Energy Research Institute IPEN-CNEN/SP, São Paulo, Brazil
| | - Ilka Tiemy Kato
- Department of Biomedical Engineering, ABC Federal University (UFABC), Santo Andre, SP, Brazil
| | - Luis Cláudio Suzuki
- Center for Lasers and Applications, Nuclear and Energy Research Institute IPEN-CNEN/SP, São Paulo, Brazil
| | - Martha Simões Ribeiro
- Center for Lasers and Applications, Nuclear and Energy Research Institute IPEN-CNEN/SP, São Paulo, Brazil
| | - Luis Rodolfo Ferreira
- Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil; School of Dentistry, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil
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29
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Effect of repeated adjunctive antimicrobial photodynamic therapy on subgingival periodontal pathogens in the treatment of chronic periodontitis. Lasers Med Sci 2014; 30:1647-56. [DOI: 10.1007/s10103-014-1632-2] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Accepted: 07/08/2014] [Indexed: 12/18/2022]
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30
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Machado-de-Sena RM, Corrêa L, Kato IT, Prates RA, Senna AM, Santos CC, Picanço DA, Ribeiro MS. Photodynamic therapy has antifungal effect and reduces inflammatory signals in Candida albicans-induced murine vaginitis. Photodiagnosis Photodyn Ther 2014; 11:275-82. [PMID: 24792453 DOI: 10.1016/j.pdpdt.2014.03.013] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2014] [Revised: 03/30/2014] [Accepted: 03/31/2014] [Indexed: 12/14/2022]
Abstract
BACKGROUND Vaginal candidiasis (VC) is a disease that affects thousands of women of childbearing age, mainly caused by Candida albicans fungus. Photodynamic therapy (PDT) uses photosensitizing substances that are nontoxic in the dark, but able to produce reactive oxygen species when they are subjected to a light source. In this work our purpose was to investigate PDT effects on fungal burden and inflammatory cells in a murine model of C. albicans-induced vaginal candidiasis. METHODS Female BALB/c mice 6-10 weeks were estrogenized and maintained in this state during all experiment. After 72h, mices were inoculated intravaginally (IV) with 20μL of 2×10(5)C. albicans cells suspension. Mice were separated into 5 groups after five days: H (healthy), PBS (control), laser, MB (methylene blue) and PDT. PDT and MB groups received IV 20μL solution with 1mM of MB, others received PBS. PDT and laser groups were irradiated with a red laser (100mW, 660nm) in one (36J, 6min) or two sessions (18J, 3min). After the end of treatment, mice were submitted to microbiological and histomorphometric analysis with ImageJ software. Data were plotted by mean values and standard deviations of CFU/mL and percentage of inflammatory cells area. ANOVA and Bonferroni post-test were used and data were considered significant when p<0.05. RESULTS PDT significantly reduced C. albicans after the two tested protocols, however, percentage area of inflammatory cells was significantly reduced just with two sessions of PDT. CONCLUSIONS PDT with MB and red laser is a promising therapy for VC. It is able to reduce fungal infection in biofilm and inflammatory signals associated with VC in a murine model of vaginitis.
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Affiliation(s)
- R M Machado-de-Sena
- Center for Lasers and Applications, IPEN-CNEN/SP, Av. Lineu Prestes, 2242, 05508-000 São Paulo, SP, Brazil; Department of Microbiology and Immunology, Federal Institute of Education, Science and Technology, IFTO, Av. Amazonas, Qd 56 - Lt 01, 77826-170 Araguaina, TO, Brazil
| | - L Corrêa
- Department of Stomatology, Dentistry School, University of São Paulo, FOUSP, Av. Lineu Prestes, 2227, 05508-900 São Paulo, SP, Brazil
| | - I T Kato
- Center for Lasers and Applications, IPEN-CNEN/SP, Av. Lineu Prestes, 2242, 05508-000 São Paulo, SP, Brazil
| | - R A Prates
- Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University, UNINOVE, Rua Vergueiro, 235, 01504-001 São Paulo, SP, Brazil
| | - A M Senna
- Department of Oral Surgery, Palmas General Hospital, Av. 201 SUL NS1, Conj. 02 - Lt 01, 77015-202 Palmas, TO, Brazil; Department of Lasers and Photomedicine, Tocantinense Institute President Antônio Carlos, Rua 02 Qd 07 s/n, 77500-000 Porto Nacional, TO, Brazil
| | - C C Santos
- Center for Lasers and Applications, IPEN-CNEN/SP, Av. Lineu Prestes, 2242, 05508-000 São Paulo, SP, Brazil
| | - D A Picanço
- Center for Lasers and Applications, IPEN-CNEN/SP, Av. Lineu Prestes, 2242, 05508-000 São Paulo, SP, Brazil
| | - M S Ribeiro
- Center for Lasers and Applications, IPEN-CNEN/SP, Av. Lineu Prestes, 2242, 05508-000 São Paulo, SP, Brazil.
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31
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Garcia VG, Longo M, Gualberto Júnior EC, Bosco AF, Nagata MJH, Ervolino E, Theodoro LH. Effect of the concentration of phenothiazine photosensitizers in antimicrobial photodynamic therapy on bone loss and the immune inflammatory response of induced periodontitis in rats. J Periodontal Res 2013; 49:584-94. [DOI: 10.1111/jre.12138] [Citation(s) in RCA: 63] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2013] [Indexed: 12/14/2022]
Affiliation(s)
- V. G. Garcia
- Group for the Research and Study of Laser in Dentistry; Division of Periodontics; Department of Surgery and Integrated Clinic; São Paulo State University (UNESP); Araçatuba São Paulo Brazil
- Master Course; Dental School of Barretos; University Center of the Educational Foundation of Barretos; Barretos São Paulo Brazil
| | - M. Longo
- Group for the Research and Study of Laser in Dentistry; Division of Periodontics; Department of Surgery and Integrated Clinic; São Paulo State University (UNESP); Araçatuba São Paulo Brazil
| | - E. C. Gualberto Júnior
- Group for the Research and Study of Laser in Dentistry; Division of Periodontics; Department of Surgery and Integrated Clinic; São Paulo State University (UNESP); Araçatuba São Paulo Brazil
| | - A. F. Bosco
- Group for the Research and Study of Laser in Dentistry; Division of Periodontics; Department of Surgery and Integrated Clinic; São Paulo State University (UNESP); Araçatuba São Paulo Brazil
| | - M. J. H. Nagata
- Group for the Research and Study of Laser in Dentistry; Division of Periodontics; Department of Surgery and Integrated Clinic; São Paulo State University (UNESP); Araçatuba São Paulo Brazil
| | - E. Ervolino
- Department of Basic Science; São Paulo State University (UNESP); Araçatuba São Paulo Brazil
| | - L. H. Theodoro
- Group for the Research and Study of Laser in Dentistry; Division of Periodontics; Department of Surgery and Integrated Clinic; São Paulo State University (UNESP); Araçatuba São Paulo Brazil
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32
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Theodoro LH, Pires JR, Fernandes LA, Gualberto Júnior EC, Longo M, de Almeida JM, Garcia VG. Effect of antimicrobial photodynamic therapy on periodontally infected tooth sockets in rats. Lasers Med Sci 2013; 30:677-83. [DOI: 10.1007/s10103-013-1400-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2013] [Accepted: 07/15/2013] [Indexed: 12/14/2022]
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33
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Baptista A, Kato IT, Prates RA, Suzuki LC, Raele MP, Freitas AZ, Ribeiro MS. Antimicrobial Photodynamic Therapy as a Strategy to Arrest Enamel Demineralization: A Short-Term Study on Incipient Caries in a Rat Model†. Photochem Photobiol 2012; 88:584-9. [DOI: 10.1111/j.1751-1097.2011.01059.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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